1. ICT intervention. A personalized SMS based patient communication feedback system (Microsoft). Utilizing the jointly decided upon follow-up parameters individuals will receive periodic SMS reminders. In cases of consistent non-adherence the system will alert the diabetes nurse educator who will contact the individual (in addition to the routine monthly call) in order to understand the difficulty and devise an alternate plan. The personalized SMS system is based on insights from a recent successful clinical trial conducted in people with diabetes. The system is based on a machine learning module and learns using the attributes of the participants (age, gender etc.) their activities as well as past experience to predict which SMS message would most incentivize each person to enhance conduction of the decided upon treatment plan (for example a certain type of physical activity). In this way the system achieves improvements which are superior to those achieved by generic feedback systems. Mobile health technology (mHealth). MHealth is the use of mobile phone technology to deliver health care. This innovation have been developed that address an array of issues such as monitoring chronic condition, medication adherence, improving patient provider communication, and disease and emergency tracking. Most widely adopted and least expensive technological feature of mHealth is the text messaging (SMS). SMS is suitable for behavior change interventions because it allows for in-the-moment, personally tailored health communication and reinforcement. Several studies have found that text messaging is a worthwhile investment for helping people with diabetes to improve their disease management.